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52 Worcester Business Journal | Book of Lists 2021 | wbjournal.com F O C U S H E A L T H C A R E Top health insurers Ranked by total Massachusetts members as of Sept. 30, 2020 Name Total Mass. membership Q3 2020/ Q3 2019 Share of Mass. market Q3 2020 For-profit or nonprofit? Head of company/ year licensed 1 Blue Cross and Blue Shield of Massachusetts Inc. (including HMO Blue) 101 Huntington Ave., Suite 1300, Boston 02199 800-262-2583 • www.bluecrossma.com 563,650 608,233 25.66% Nonprofit Andrew Dreyfus president & CEO 1992 2 Tufts Health Public Plans Inc. (a) 705 Mount Auburn St., Watertown 02472 617-972-9400 • www.tuftshealthplan.com 491,939 448,091 22.39% Nonprofit Cain Hayes (b) CEO, Tufts Health Plan and Harvard Pilgrim Health Care combined 1997 3 Boston Medical Center Health Plan Inc. 529 Main St., Suite 500, Charlestown 02129 617-748-6000 • www.bmchp.org 334,432 323,922 15.22% Nonprofit Heather Thiltgen president 1997 4 Tufts Associated HMO Inc. (c) 705 Mount Auburn St., Watertown 02472 617-972-9400 • www.tuftshealthplan.com 254,243 260,422 11.57% Nonprofit Cain Hayes (b) CEO, Tufts Health Plan and Harvard Pilgrim Health Care combined 1979 5 Fallon Health Inc. 10 Chestnut St., Worcester 01608 508-799-2100 • www.fchp.org 172,970 165,521 7.87% Nonprofit Richard P. Burke president & CEO 1977 6 Harvard Pilgrim Health Care Inc. 93 Worcester St., Wellesley 02481 617-509-1000 • www.harvardpilgrim.org 146,998 145,023 6.69% Nonprofit Cain Hayes (b) CEO, Tufts Health Plan and Harvard Pilgrim Health Care combined 1977 7 AllWays Health Partners 399 Revolution Drive, Somerville 02145 866-414-5533 • allwayshealthpartners.org 120,564 111,857 5.49% Nonprofit Steven Tringale (d) interim CEO 1986 8 Health New England 1 Monarch Place, Suite 1500, Springfield 01144 413-787-4000 • www.healthnewengland.org 110,820 105,938 5.04% Nonprofit Richard Swift (e) president & CEO 1985 9 Aetna Health Inc. (f) 151 Farmington Ave., Hartford, CT 06156 800-872-3862 • www.aetna.com 1,223 728 0.06% For profit Karen S. Lynch president & CEO, CVS Health 1987 10 Connecticare of Massachusetts Inc. 175 Scott Swamp Road, Farmington, CT 06034 860-674-5757 • www.connecticare.com 157 209 0.01% For profit Eric Galvin president 1995 Sources: Massachusetts Division of Insurance and insurer websites and press releases (a) Tufts Health Plan and Harvard Pilgrim Health Care combined organizations on Jan. 1, 2021. (b) As of July 5, succeeded interim CEO of combined organization of Tufts Health Plan and Harvard Pilgrim Health Care, Thomas A. Croswell, former president and CEO Tufts Health Plan, who retired (c) Doing business as Tufts Associated Health Plan and Tufts Health Plan. Tufts Health Plan and Harvard Pilgrim Health Care combined organizations on Jan. 1, 2021. (d) Succeeded David Segal after he stepped down, September 2020 (e) Succeeded Marion McGowan, effective October 2020 (f) Has not offered nor renewed small-group health plans to Mass. customers since 2011; acquired by Woonsocket, R.I.-based CVS Health, effective November 2018 - Compiled by: Heide Martin, hmartin@nebusinessmedia.com Massachusetts residents have consistently high out-of- pocket healthcare costs, with nearly 10% of income earned by families in cities like Worces- ter going toward health care, according to the state's Health Policy Commission. Costs are not only high but have grown sharply. Those in commercial plans paid 20%, or $120, more in 2017 than they did two years prior. One in 10 paid at least $1,946 out-of- pocket in 2017, and the median was $721. The issue makes health care increasingly unaffordable and worsens inequality. The burden can fall dispro- portionately high on lower-in- come residents, with residents in poorer cities including Worcester more likely to devote 10% or more of their income on healthcare costs. In suburban, often wealthier towns, that share is typically less than 4%. Those with long-term healthcare needs also tend to have persistently high out-of-pocket costs. With premiums included, Massachusetts households spend 40% of their income on health care, the report said. Premiums continue to rise despite the percentage of commercially-insured residents enrolled in high-deductible plans increasing, the Health Policy Commission said. The rate of residents in such plans was 32% in 2018. "This new analysis clearly shows that many people in Massachusetts are facing persistently high out-of-pocket costs and that burden is in- creasing as a portion of income year over year," David Seltz, the commission's executive director, said in a statement. "We will continue to monitor these trends and make policy recommen- dations to address affordability challenges with our interagency and legislative partners." Central Massachusetts does stand out as a bright spot in one way: it's rate of persistently high out-of-pocket spending is the lowest of the state's 15 regions. Mass. has high out-of-pocket healthcare costs, and it's growing